Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Arrival Date and Time

  • Departure Date and Time

  • Number of engineers

  • Order Number

  • Circuit / Equipment de-energized made safe

  • Work carried out

  • Materials Used

  • Works complete

  • Revisit required

  • Quoted works

  • Call Out

  • Further works required

  • Relating photos

  • Engineers signature

  • Loop Impedance Reading

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.